What started out as a "simple" attempt on my part to repair a chronic breathing problem caused by a deviated septum unfolded into a complicated nightmare of 3 botched rhinoplasties/septoplasties (a primary and two revisions) over a 6 year period. I unwittingly went to the wrong doctors!
Dr. Gunter is a phenomenal artistic surgeon who sculpts THE MOST beautiful noses on the planet. Really, your search is over once you meet this incredibly talented doctor. I have the prettiest, most natural looking nose, and get compliments often. His staff is delightful, making you feel like you are surrounded by friends. Don't hesitate when it comes to Dr. Gunter and your nose.
I needed help big time.
My nasal tip collapsed from my first rhinoplasty. Dr. G performed a revision rhinoplasty. Great results! Highly recommend Dr. G or one of his colleagues for rhinoplasty or a revision rhinoplasty
I did not like the look of my nose from the first rhinoplasty, but Dr. G changed it all! After seeing some things on the internet, I was a little leery about getting the rhinoplasty. I had had it done once before, but the result was not what I was looking for. I found Dr. G and I am so glad that I decided to go through with the surgery! My nose looks great, exactly what I had hoped for. Of course complications are a risk with any and every surgery, but that is just a risk that one must take, regardless of the surgeon.
I breath 100% better and now my nose fits my face better
I am from New York, a city where seeing a doctor closely resembles speed dating these days. Over the years I’ve broken my nose several times and had repeated surgeries in hopes of repairing it. Each surgery resulted in unsuccessful outcomes and left me with additional problems. After years of being unhappy, I consulted with a reputable doctor in New York, who I will call Dr. A. Dr. A. strongly suggested after examining me, that the only man I should see for repair was Dr.G. During our hour consultation, Dr. G took pictures, examined me, and thoroughly explained the surgery in detail. Knowing that having had so many prior surgeries a good outcome was not a guaranteed result, I asked him if he thought I should proceed. Dr. G, confidently said that he would not do the surgery if he didn’t feel he could improve the structure and the aesthetics of my nose. I set the date for surgery. Dr. A. accompanied me , as he was excited to sit in on my surgery . Several days later, I returned home and for the past six years I have had no problems with my reconstructed nose. I could breath great and it looked beautiful until recently. A day before New Years Eve while playing with my dog, she picked her hard head up swiftly and caught me under the nose. This has happened several times over the years, but it never caused a problem. Later that day, I passed out, as I sometimes do from low blood pressure, and hit my head/face on the way down. Several hours later, my nose looked a little twisted to one side and my breathing seemed a little off. I called the office and spoke with Dr. G’s nurse Jane. She asked that I take x-rays and send her some photos immediately. As soon as they were received Dr. G reviewed them and called me. He honestly said that he couldn’t tell exactly what went wrong without seeing me. Jane got back on the phone and with the help of Marilyn rearranged the scheduled patients so she could fit me in immediately. Now, I just don’t mean that they rescheduled the consult appointments, Jane and Marilyn rescheduled the surgeries as well, making time in the operating room in hopes that it would be a quick fix. I flew down and consulted with the doctor that afternoon. Dr. G came in, all smiles and happy to see me even though I had possibly wrecked his masterpiece! We looked at the operative report and the old and new photos together. He examined me, looked, poked and thought. I could tell that he was thinking of every possible scenario that might have caused the problem as well as every possible fix. This is not a doctor that approaches surgery in a careless manor. After one hour, we had nothing! Dr. G said he had never seen this happen before and he thought the most practical thing to do was to schedule surgery in the near future and start from scratch. I asked him, “can it turn out worse.” Dr. G reassured me that he would not operate on me again unless he felt he could achieve a great outcome. He did not want to open my nose up unless we were both prepared for whatever he was presented with. He made sense and I agreed with him but I was convinced that the K wire had shifted and we should simply remove it. I think he sensed my one percent of conflict and he exited the room for five minutes as if to give me time alone to think. When he came back, I to said “I still think it’s just the k wire”. Well, doctors with as many degrees, credentials and recognition as Dr. G has would have dismissed me in a minute. He looked at me and smiled one of his big warm smiles and said, then thats what we’ll do because sometimes the patient knows best. Before the surgery he popped into my suite to ask me if I had any further questions or instructions for him. LOL After the surgery he came to see me and asked me what I thought about my nose. I told him I hadn’t seen it and he ran out to find a mirror so I could take a look. He said that the nose had shifted back when he removed it and although it was too soon to tell the final outcome, he was happy that we proceeded with the removal. Dr. G personally called me to see how I was feeling and to reassure me that if I was not happy when the swelling went down he would do whatever it took to make me happy. Office staff is the best! They will go out of their way for you. Jane did everything for me. She took care of sending me hotel info and booked the surgical center and anesthesiologist .She hired a nurse for me and was there with a big hug of reassurance on the day of my consult. Dr. G did not charge me for my surgery or consult!!!!!! I can’t express my gratitude. The operating facility is state of the art. The anesthesiologist.... Well I had the pleasure of having Leslie for my first surgery as well and she is the best. She will keep you calm with pre surgery drugs and keep you safe during your surgery. I never review anything or anyone, but Dr. G, well, he is my hero and I wanted to applaud his operating skills, compassion and humanity. Thank you Dr.G.
I had a cosmetic rhinoplasty In June, 2009 to improve the appearance of my wide nose. I am pleased with the results and I am happy I had the proceedure done. I still have a dissolvivle stitch in nose after almost a month after surgery. Is this normal? Updated on 12 Feb 2011:
Previously broken nose and was not happy with the appearance. dr gunter did a fascinating job on giving me the ability to breathe. Dr Gunter and staff was also very caring and the hospital stay provided unbelievable care. CON: nose is 2 times the size it was originally and way too big for my facial structure. unfortunately it changed my look for the worse but happy I can breathe. Make sure up front you have the same visual goals as Dr Gunter
Rhinoplasty - breatheun better looks better
Alex, The photos you included show a very nice profile result but you should be aware that all areas of the nose have to be in balance and harmony if it is to be an attractive nose. Likewise the nose must be in balalnce and harmony with the rest of the face to have an attractive face. Lowering the hump may make the profile view look better but lowering the hump usually makes the nose look wider from the front view. In most cases making the nose look wider is not desirable and the nasal bones should be broken and moved inward to make it look narrower. With the bridge looking narrower how is the tip going to look? Will it look too wide? All these things plus others should have been discussed with you by your surgeon. If it has not you have not had a good consultation and I would suggest you get a second opinion. As for as the 2nd part of your question, in general, it does take close to a year for all the swelling to subside. The more that is done to the nose the more it swells especially if the bones have to be broken. However, in most cases the majority of the swelling subsides with in a few weeks and most people will not be able to tell it is swollen but you must be patient because it will be up to a year before you see your final result. As far as the cost, it will depend on on what is done and the expertise of the surgeon. There are very few bargins in cosmetic surgery and you usually get what you pay for. I hope this helps. Good luck. Jack Gunter MD
Preceived deformities following early rhinoplasty may get worse as the swelling subsides but some will get better. This is the reason all postop rhinoplasty deformities should be treated conservatively and definitive treatment started only after the cause of the deformity has been determined. The "experts" are at a disadvantage in this case as it is unknown how long ago the operation was performed and are not able to feel the bulge to see if it is due to swelling or a bony or soft tissue prominence. My guess is that this is due to a soft tissue (skin) prominence. When Moh's Surgery is performed it often requires a flap of skin be moved into the defect for closure. This often results in a bulge at the base of the flap. Even when a flap is not neccessary the increased pressure created at the skin closure line can create a bulge at one or both ends of the closure line. These bulges (or bulge) usually improve with time and this can be hastened during the early postop period by applying pressure on the bugles with stretchable tape at night. If a noticable bugle is still there at one year it is probably be necessary to remove it with dermabrasion (sanding) or surgical excision that should leave a small surgical scar which is not be easily seen. If the bulge is caused by a bony prominence a minor endonasal rhinoplasty with rasping of the bulge to smooth the bulge is all that would be needed. I hope this is helpful Jack Gunter MD
Alon, That is a great and very appropriate question but also a difficult one to answer. It is a known fact that with “advancing age“ a person’s mental and physical abilities start to decline. It is also a fact that “advancing age” starts at different times for different individuals. Individuals should be aware of it when their mental and physical decline starts. As for physicians, whose primary concern should be the well being of their patients, it is hoped they will recognize this (especially true for surgeons) and know when it is time to consider retirement. Experience is a great teacher but at some point even it becomes overshadowed by one’s decreased mental and physical abilities and the surgeon should put down the knife. All that being said, you should find out as much as possible about your surgeon and his reputation, especially for rhinoplasty procedures. A surgeon with a great reputation may excel in breast surgery but may not necessarily be good at rhinoplasty. Probably most important is to meet the surgeon for a personal consultation to see if you feel comfortable with his/her demeanor, physical condition, etc. Ask some pointed questions. All good respectable plastic surgeons doing rhinoplasty should have some recent patients on whom they have operated who would be glad to talk with you. Don’t be afraid to ask for names of some of those patients. If he is insulted or makes you feel uncomfortable, I personally would recommend you look for another surgeon. The final decision may be tough but it is one you alone will have to make. I hope this helps. Good luck. Respectfully, Jack P. Gunter, M.D.
Not necessarily. Appearance-wise, celebrities have an advantage over most of us, but it is not necessarily because of their plastic surgeon. Most of the time when seen in magazines, movies, TV or public appearances it is after they have had the help of professional hairdressers, make-up artists and photographers who use their talents to make the celebrity as attractive as possible. Think of what these professionals were able to do to Brad Pitt in the movie, Benjamin Buttons. It is what these professionals can do to change the appearance of a person. On the other hand, look at what the celebrity surgeons did for Michael Jackson and what his “celebrity” personal physician did to him. There are excellent plastic surgeons in all areas of the United States, you need to be diligent in your search (see previous RealSelf questions, “How to find a plastic surgeon”) and it is not an easy task since it is no longer unethical for plastic surgeons to use paid misleading advertising and marketing.
A “non-surgical” rhinoplasty is performed by injecting non-permanent injectable fillers (no permanent injectable fillers are approved for injection at this date) in the nose to change its shape. This is always an “additive” procedure because placing more volume in the nose makes it larger. Very few primary rhinoplasties are performed to make the nose larger. If the patient has a hump it’s usually reduced by rasping it down (surgical rhinoplasty). The only way fillers can make the bridge look straight is by injecting fillers above and below the hump and this will increase the size of the bridge when it really needs to be reduced. The only thing I can think of that is good about a “non-surgical” rhinoplasty is that it is not permanent and if you don’t like your nose enlarged, the fillers will be resorbed in a several month period and it will return to its original size.